Fowler, Stacy

Fowler, Stacy is an individual health care provider with primary practice located at 1613 Saint Andrews Dr , Mebane NC 27302-7116. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Fowler, Stacy can be contacted via phone (336) 213-3910.

Contact Information

Primary practice address
1613 Saint Andrews Dr Mebane NC 27302-7116
Phone: (336) 213-3910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 481 North Carolina

Profile Details

NPI number 1275549479
LBN Legal business name Fowler, Stacy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Nov 2nd, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275549479 NPPES
North Carolina MEDICAID 89081AJ
North Carolina Other 081AJ
North Carolina Other 11453384

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